White House OK on health care with or without GOP

In this photo taken Thursday, Feb. 25, 2010, Democrat leaders, from left, Senate Majority Leader Harry Reid of Nev., and House Speaker Nancy Pelosi of Calif., with Vice President Joe Biden, and President Barack Obama take part in health care reform meeting at the Blair House in Washington. Obama, Democrats and Republicans fought about a health care overhaul they've debated for a year. They broke no new ground and the gridlock that has paralyzed Washington, and infuriated the public, was on full display. (AP Photo/Pablo Martinez Monsivais)
— AP

In this photo taken Thursday, Feb. 25, 2010, Democrat leaders, from left, Senate Majority Leader Harry Reid of Nev., and House Speaker Nancy Pelosi of Calif., with Vice President Joe Biden, and President Barack Obama take part in health care reform meeting at the Blair House in Washington. Obama, Democrats and Republicans fought about a health care overhaul they've debated for a year. They broke no new ground and the gridlock that has paralyzed Washington, and infuriated the public, was on full display. (AP Photo/Pablo Martinez Monsivais)
/ AP

WASHINGTON 
The White House's top health care official is optimistic that Democrats will have the votes to pass a major health care overhaul.

Presidential adviser Nancy-Ann DeParle says it makes sense to have a "simple up-or-down vote" on legislation, now that Democrats lack the 60 votes necessary to overcome Republican stalling tactics.

The Senate's Democratic leaders are try to devise a strategy for passing the legislation with a simple 51-vote majority. There are 57 Democrats in the Senate and two Democratic leaning independents.

DeParle notes that the House and Senate already have passed versions of health care overhaul.

She tells NBC's "Meet the Press" that she believes "we will have the votes to pass this in Congress."

THIS IS A BREAKING NEWS UPDATE. Check back soon for further information. AP's earlier story is below.

WASHINGTON (AP) - House Speaker Nancy Pelosi urged her colleagues to back a major overhaul of U.S. health care even if it threatens their political careers, a call to arms that underscores the issue's massive role in this election year.

Lawmakers sometimes must enact policies that, even if unpopular at the moment, will help the public, Pelosi said in an interview being broadcast Sunday the ABC News program "This Week."

"We're not here just to self-perpetuate our service in Congress," she said. "We're here to do the job for the American people."

It took courage for Congress to pass Social Security and Medicare, which eventually became highly popular, she said, "and many of the same forces that were at work decades ago are at work again against this bill."

It's unclear whether Pelosi's remarks will embolden or chill dozens of moderate House Democrats who face withering criticisms of the health care proposal in visits with constituents and in national polls. Republican lawmaker unanimously oppose the health care proposals, and many GOP strategists believe voters will turn against Democrats in the November elections.

Pelosi, from San Francisco, is more liberal than scores of her Democratic colleagues. But she generally walks a careful line between urging them to back left-of-center policies and giving them a green light to buck party leaders to improve their re-election hopes.

Her comments to ABC, in the interview released Sunday, seemed to acknowledge the widely held view that Democrats will lose House seats this fall - maybe a lot. They now control the chamber 255 to 178, with two vacancies. Pelosi stopped well short of suggesting Democrats could lose their majority, but she called on members of her party to make a bold move on health care with no prospects of GOP help.

"Time is up," she said. "We really have to go forth."

Her comments somewhat echoed those of President Barack Obama, who said at the end of last week's bipartisan health care summit that Congress should act on the issue and let voters render their verdicts. "That's what elections are for," he said.

The White House says Obama, perhaps on Wednesday, will announce a "way forward" on health care. He, Pelosi, and Senate Democratic leaders have left little doubt that they hope to pass a Democratic-crafted bill under "budget reconciliation" rules that would bar Republican filibusters in the Senate. It's unclear whether Pelosi can muster the needed votes in the House.